The objective of the study was to evaluate the effects of cognitive behavioral therapy [sleep-related behavior modification and progressive muscle relaxation on insomnia of maintenance hemodialysis (MHD) patients] on improving insomnia of MHD patients. 103 MHD patients complicated with insomnia were randomly assigned to treatment (n = 52) and control (n = 51) groups. The control group was treated with conventional hemodialysis, and the treatment group was additionally treated with cognitive behavioral therapy for 3 months (sleep-related behavior modification and progressive muscle relaxation). All cases were assessed by Symptom Checklist 90 (SCL-90) and Pittsburgh Sleep Quality Index (PSQI) before and 2, 4, 6, 8, 10, and 12 weeks after treatment. Fifty-one patients in the treatment group and 47 patients in the control group completed the experiments. After treatment, the total mean scores were (1.94 ± 0.50/2.29 ± 0.31); scores of somatization, depression, anxiety, hostility, and additional items were (1.87 ± 0.58/2.56 ± 0.26), (2.25 ± 0.80/2.79 ± 0.50), (1.79 ± 0.26/2.37 ± 0.34), (1.71 ± 0.46/2.25 ± 0.43), and (1.91 ± 0.67/2.26 ± 0.59) in SCL-90, respectively. The total scores for PSQI were (12.63 ± 2.27/16.40 ± 2.16); scores of subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, hypnotics, and daytime dysfunction which were (1.98 ± 0.76/2.57 ± 0.58), (1.75 ± 0.59/2.60 ± 0.50), (2.10 ± 0.50/2.62 ± 0.53), (2.06 ± 0.47/2.57 ± 0.54), (2.04 ± 0.69/2.45 ± 0.72), (1.02 ± 0.79/1.51 ± 0.98), and (1.69 ± 0.55/2.09 ± 0.58), respectively, were significantly lower in the treatment group compared with the control group. However, there were no significant differences in the scores of factors of obsessive-compulsive (2.26 ± 0.62/2.32 ± 0.38), interpersonal sensitivity (2.23 ± 0.64/2.43 ± 0.47), phobic anxiety (1.98 ± 0.62/2.01 ± 0.67), paranoid ideation (1.55 ± 0.43/1.69 ± 0.39), and psychoticism (1.57 ± 0.46/1.66 ± 0.49). The conclusion is that sleep-related behavior modification in combination with progressive muscle relaxation effectively improved the mental state and sleep quality of MHD patients with insomnia.
The Haber–Bosch (HB) process has provided most of commercial ammonia at the expense of high energy consumption and high CO2 emission. Nitrate electroreduction is showing great potential as an alternative route for the green and scale-up synthesis of ammonia at ambient conditions. However, the performance has lagged due to lack of efficient electrocatalysts. In this work, we present the facile synthesis of uniform Cu nanodisks with exposed (111) facets as highly active electrocatalyst for electrochemical ammonia synthesis, delivering a high ammonia yield of 2.16 mg mg–1 cat h–1 and a maximum Faradaic efficiency of 81.1% at −0.5 V versus a reversible hydrogen electrode (RHE). The remarkable activity is originated from the surface reconstructed triatomic Cu clusters due to the cathodic deoxygenation process. As a result, the reconstructed surface shows enhanced affinity to the adsorption of nitrate ions which undergo successive break of three N–O bonds, followed by subsequent formation of three N–H bonds to finally form NH3. The present study provides the feasible preparation of Cu based advanced catalysts and a unique insight into the mechanism of nitrate electroreduction.
Transition metal element doping into semiconducting materials has been a promising method for the preparation of active photocatalysts for the efficient use of solar energy. In this study, we report the facile synthesis of Fe doped SrWO 4 nanoparticles by a solvothermal method for photocatalytic nitrogen reduction. The intrinsic bandgap of SrWO 4 is greatly narrowed by the Fe-dopant which not only extends the light absorption from UV to visible light range, but also reduces the charge recombination. The narrowed band structure still fulfils the thermodynamic requirements of nitrogen reduction reaction. At optimal doping concentration, Fe doped SrWO 4 shows much higher photocatalytic nitrogen fixation performance. The present study provides a route toward the development of active photocatalysts for nitrogen fixation.
An in situ coupling approach is used to fabricate the porous carbon liquid with permanent porosity by directly dispersing hollow carbon nanospheres in polymerized ionic liquids. It is a kind of homogenous and stable type III porous liquid at room temperature. Because of the well‐preserved permanent porosity, this unique porous carbon liquid is capable of absorbing the largest quantity of carbon dioxide than the reference PILs and solid carbon liquid, thus, can function as a promising candidate for application in gas storage. More importantly, this approach not only provides an easy method to tune the properties of those specific porous liquids, but also is suitable for fabricating other porous liquid based on varied porous structures (e.g., porous carbon nitride, porous boron nitride, and polymer with intrinsic microporosity), thus paving a viable path for the rational design and synthesis of novel porous liquids with functional properties for specific applications.
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